IRENE KONSTANTINA BUCKALEW Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006492

License Status

INACTIVE

Business

First Name

IRENE

Middle

KONSTANTINA

Last Name

BUCKALEW

Business Name

IRENE KONSTANTINA BUCKALEW

Original Issue Date

12/11/2000

Effective Date

01/07/2004

Expiration Date

10/31/2003

City

BALLWIN

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005